Rhinoplasty

a Case-based approach

1st Edition - April 25, 2022
Authors: Husain Ali Khan, Foad Nahai, Shahrokh C. Bagheri, Behnam Bohluli, James D. Frame
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 7 7 5 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 7 7 6 - 7

A valuable resource for cosmetic and reconstructive surgeons at all levels of training and expertise, Rhinoplasty: A Case-Based Appr… Read more

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A valuable resource for cosmetic and reconstructive surgeons at all levels of training and expertise, Rhinoplasty: A Case-Based Approach offers systematic, expert coverage of both common and complex rhinoplasty procedures performed in today’s practice. Each chapter offers a carefully written teaching case that outlines essential information related to fundamental aspects of the condition—all from the world’s leading experts in rhinoplasty and aesthetic surgery. Numerous high-quality illustrations and procedural videos help you master the techniques that lead to optimal outcomes and increased patient satisfaction.

Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
List of Contributors
Preface
Tribute to Jack P. Gunter, MD
Section 1: Introduction
1. Ethnicity, Race and Culture: Its Influence on Rhinoplasty
Formation of Ancient Civilizations
Defining of Different Races, Cultures, and Ethnicity
Mixtures of Races
Race, Culture, and Ethnicity in Rhinoplasty
Further Reading
2. Nasal Anatomy
Abstract
Anatomy of the Nose
Physiology
Conclusion
References
Section 2: Patient Assessment
3. The Initial Examination
The Problem
The Background
The Indications
The Examination (Table 3.1)
The Limitations and Possible Disadvantages of Diagnostics Tests (Table 3.2)
References
4. Photography in Rhinoplasty
Introduction
Basic Concepts for Standard Photography
Advanced Use of Pictures
References
5. Three-Dimensional Imaging in Rhinoplasty
Abstract
The Problem
The Background
The Indications
The Patient
Choosing Imaging Technology for Rhinoplasty
The Pearls
References
Section 3: Nasal Airway Obstruction
Part I: Septoplasty
6. Conservative/Simple Septoplasty
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Alternatives
References
7. Advanced Septoplasty: Correction of Caudal Septal Deflection
Abstract
The Problem
The Background
The Indications
The Indications
The Surgery
The Limitations and Possible Complications
The Pearls
References
8. Advanced Septoplasty: Correction of Dorsal Deflections
The Problem
The Background
The Indications
Linear
The Patient
The Surgery
References
9. Advanced Septoplasty: Extracorporeal Septoplasty—Septal Reconstruction
Abstract
Summary
Introduction
Outcome and Complications
Discussion
Summary
References
Part II: Turbinate Hypertrophy
10. Medical Management of Turbinate Hypertrophy
Abstract
The Problem
The Background
The Case
What is the Medical Treatment of Turbinate Hypertrophy?
Conclusion
References
11. Functional Turbinoplasty
The Problem
The Background
The Indications
The Diagnosis
The Patient
The Surgery
The Limitations and Possible Complications
Further Reading
12. Turbinate Reduction Techniques in Rhinoplasty
The Problem
The Background
The Indications
The Surgery
The Limitations and Possible Complications
The Alternatives
Conclusions
References
Section 4: Graft Harvesting Techniques
13. Septal Graft: Preparation of Crushed Cartilage
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
References
14. Septal Graft: Graft Harvesting Technique
Abstract
The Problem
The Background
The Indications
Preoperative Evaluation
The Surgery
The Limitations and Possible Complications
The Alternatives
15. Conchal Cartilage Harvest (Anterior Approach)
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
The Alternatives
References
16. Conchal Cartilage Harvest (Postauricular Approach)
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
The Alternatives
References
17. Technique for Harvesting Deep Temporal Fascia
Abstract
The Problem
The Background
The Indications
The Patient
The Surgical Approach
The Name of the Technique
The Complications
References
18. Temporalis Fascia: Neck Hairline Incision
Abstract
The Problem
The Background
The Indications
References
19. Costal Cartilage Harvest
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
The Alternatives
References
Section 5: The Dorsum
Part I: Overprojected Dorsum
20. Composite Hump Resection
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
Composite Removal of Large Dorsal Hump
Alternative Techniques
The Alternatives
References
21. Component Hump Reduction With Midvault Reconstruction
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery (Table 21.1; Fig. 21.1)
The Limitations and Possible Complications
The Alternatives
References
22. Component Hump Resection With Placement of Spreader Grafts
Abstract
Disclosure Statement
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
23. Dorsal Hump Reduction With Simple Suturing
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
24. Dorsal Hump Deformity in Compromised Internal Valve
The Background
The Patient
The Problem
The Limitations and Possible Complications
The Alternative Techniques
The Pearls and Pitfalls
References
Part II: Nasal Radix Augmentation
25. Nasal Radix Augmentation With Crushed Cartilage
The Problem
The Background
The Indications
The Patient
The Surgery
References
26. Nasal Radix Augmentation With Temporalis/Mastoid Fascia Harvested Through Postauricular Approach
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
27. Dorsal Nasal Augmentation With Fascia Overlying Crushed Cartilage (Sandwich Technique)
The Problem
The Background
The Indications
The Patient
The Surgery (Overview of All Procedures)
The Surgery (Focused on Sandwich Technique)
The Limitations and Possible Complications
The Alternatives
References
28. Internal Lateral and Medial Osteotomy
The Problem
The Background
The Indications
The Case
The Surgical Steps
The Surgical Steps (Focused on Internal Osteotomy)
The Composites
Main Technique
The Alternatives
References
29. External Percutaneous Lateral and Transverse Osteotomies
Introduction
Method
Conclusion
References
30. Advances in Rhinoplasty—Piezoelectric Nasal Osteotomy
Abstract
The Background
The Indication
The Patient
The Surgery
References
Section 6: Nasal Tip
Part I: Tip Refining
31. Suture Tip Rhinoplasty
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
References
32. Boxy Tip: Combination of Techniques
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites (Fig. 32.2)
The Limitations and Possible Complications
The Alternatives
References
33. Tip Grafting
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives (Table 33.3)
References
Part II: Overprotected Tip
34. Lateral Crural Overlay
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites (Fig. 34.2)
The Limitations and Possible Complications
The Alternatives
References
35. Medial Crural Overlay
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites (Fig. 35.2)
The Limitations and Possible Complications
The Alternatives
References
36. Dome Division
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites (Fig. 36.3)
The Limitations and Possible Complications
The Alternatives
References
Part III: Tip Underprojection
37. Structural Reconstruction in Difficult Secondary Cases
The Problem
Surgical Technique
The Patient
References
38. Dorsum Reconstruction and Osteoplasty Using Hand Instruments
The Problem
Surgical Technique
The Patient
References
39. Lateral Crural Steal (LCS)
The Problem
The Background
The Indications
The Patient
The Surgery (General LCS Technique)
The Composites (Fig. 39.2)
The Limitations and Possible Complications
The Alternatives
References
40. Creating Adequate Projection With Closed Rhinoplasty
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites (Figs. 40.1–40.14)
The Limitations and Possible Complications (Table 40.2)
The Alternatives (Table 40.3)
References
Part IV: Elongation of Short Nose
41. Dynamic Adjustable Rotational Tip Tensioning Technique
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
42. Tongue and Groove Technique for Nose Elongation
The Problem
The Background
The Indications
The Surgery
Surgical Technique in Detail
The Composites
The Limitations and Possible Complications
The Alternatives
References
43. Tongue-in-Groove Technique
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
Part V: Underrotated Tip
44. Tip Rotating in a Droopy Tip: Endonasal Approach
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites (Fig. 44.3)
The Limitations and Possible Complications
The Alternatives
References
45. Reductive Rhinoplasty
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
Disclaimer
References
Part VI: Cephalic Malpositioning
46. Cephalic Malpositioning: Use of Lateral Crural Strut Graft
Abstract
The Problem
The Background
Characteristics of LCC Position
Surgical Correction of LLC Cephalic Position
References
47. Cephalic Malpositioning: Use of Alar Contouring Grafts
The Problem
The Background
Alternatives to the Alar Region Graft
The Composites
References
Section 7: Nasal Base Surgery
48. Alar Preservation Rhinoplasty
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
Surgical Technique
The Composites
The Limitations and Possible Complications
The Alternatives
References
49. Correction of the Wide Nasal Base
The Problem
The Background
The Patients
The Surgery (Table 49.1; Fig. 49.3; Video 49.1)
The Alternatives
50. Nasal Base Modification
The Problem
The Background
The Indications
The Patient
The Surgery (Focused on Nasal Base Modification With Pyriform Ligament Release)
Surgical Steps
The Composites
The Limitations and Possible Complications
The Alternatives
References
Section 8: Preservation Rhinoplasty
51. Lateral Crural Turn-In Flap (Preservation Tip Plasty)
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
The Composites (Fig. 51.3)
References
52. Preservation Rhinoplasty (Tip Plasty)
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
53. K-Area Preservation in Primary Rhinoplasty
Introduction
Principles and Concepts
References
54. Dorsal Preservation in Rhinoplasty: A Deviated Nose
Abstract
The Background
The Indications
The Surgical Technique
Limitations and Complications
The Alternative Techniques
References
Section 9: Nonsurgical Rhinoplasty
55. Fat Grafting for Rhinoplasty
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
56. Medical Aesthetic Rhinoplasty—Liquid Rhinoplasty
Introduction
Case Reports
Background
Injecting HA
The Limitations and Possible Complications
References
Section 10: Ethnic Rhinoplasty
57. Dorsal Augmentation Using Glued Diced Costal Cartilage With Fascial Cap in Asian Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
58. Indo-Aryan Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
59. The Middle Eastern Nose
The Clinical Problem
Background: Defining the Middle Eastern Nose
The Patients
The Surgery
References
60. The Persian Nose: Characteristics and Management
Abstract
The Problem
The Background
The Indications
The Patient
The Surger
Name of Technique
Purpose
Indications
Effects
Surgical Technique in Detail
References
61. Latino Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
62. Grecian Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
63. Rhinoplasty in the Caucus Nose
Background
The Problem
Indications
The Patients
The Surgery
The Composites
The Limitations and Possible Complications
References
64. Russian Nose
Abstract
The Problem
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
65. Northern European Nose
Abstract
The Problem
The Background
The Patient
The Indications
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
66. The English Nose
Abstract
The Problem
The Background—Defining the “English Nose”
The Assessment
The Surgical Procedure
References
67. African American Nose
The Problem
The Background
The Indications
The Patients
The Surgery
The Limitations and Possible Complications (Table 67.3)
The Alternatives
68. Hispanic Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
69. Brazilian Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
7070. The Mixed Race Nose (Mestizo Nose)
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Advantages and Possible Complications
The Alternatives
References
Section 11: Complicated Rhinoplasty
71. Crooked Nose: Effective Treatment Strategies for Bony Contouring
Introduction
Anatomic and Clinical Considerations
Types of Osteotomies
Nasal Bony Reshaping
Conclusions
References
72. Rhinoplasty in Thick-Skinned Patients
Abstract
The Problem
The Background
The Patient (Composites 1, 2)
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
73. Rhinoplasty in the Aging Nose
The Problem
The Background
The Indications
The Patient
The Surgery (Focused on the Aging Nose)
The Composites
Limitations and Possible Complications
The Alternatives
References
74. Rhinoplasty in Cleft Lip and Palate Patients
Abstract
Introduction
Anatomy
Surgical Timing in CLP Patients
Secondary Repair: Incisions and Technique
References
75. Simultaneous Orthognathic and Rhinoplasty Surgery
The Problem
The Background
The Indications
The Contraindications
The Patient
The Procedure
Surgical Steps
The Considerations
The Limitations and Possible Complications
The Alternatives
Further Reading
Section 12: Complications and Revision Rhinoplasty
76. Management of the Ischemic Nose
Abstract
The Problem
Background and Anatomy
The Indications
The Patient
The Surgery
The Composites
References
Part I: Tip Deformities
77. Alar Pinch Deformity
General Condition of the Patient and Family History
Iatrogenic APD
Preoperative Analysis
Surgery
References
78. Correction of the Pinch Deformity by Alar Batten Graft
The Problem
Introduction
Indications
Case Presentation
Surgical Steps
Surgical Steps (Focused on Alar Batten Graft)
The Composites
Limitations and Possible Complications
Alternative Techniques for Medial Osteotomy
References
Part II: Dorsal Deformities
Part II Dorsal Deformities 7979. Correction of Overresection With Crushed Cartilage
The Problem
The Background
The Indications
The Patient
The Surgery
References
80. Correcting the Overresected Nose
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
81. Correction of Overresection With Non-Rib Cartilage Wrapped in Fascia
Abstract
The Problem
The Background
The Indications
The Patient
The Surgery
The Limitations and Possible Complications
The Alternatives
Further Reading
82. Correction of Overresection With Diced Cartilage Injection
The Problem
The Background
The Indications
The Patient
The Surgery
References
83. Diced Cartilage Glue Graft for Nasal Augmentation
The Problem
The Background
The Indications
The Patient
The Surgery
The Composites
The Limitations and Possible Complications
The Alternatives
References
Index
Confidence is ClinicalKey

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Husain Ali Khan

Foad Nahai

Shahrokh C. Bagheri

Behnam Bohluli

James D. Frame